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Dementia and Parkinson's

  1. Default Dementia and Parkinson's
    Medical Coding Books
    Hello all,
    I've got a little back and forth going on with an Attending Physician's office regarding a change to a Primary Diagnosis (I am in Hospice). The patient was referred to us with a Primary Dx of Parkinson's and with an Other Dx of Dementia. When I look in the Alphabetical listing I am led to G31.83 Dementia w/Lewy Bodies which INCLUDES Dementia w/Parkinsonism. The Attending is adamant that the Primary Dx remain Parkinson's instead of using the combination code I was led to in the ICD-10 manual. I would like to be able to understand where to go from here...
    Any suggestions or helpful tips would be welcome.
    Thank you!
    Melanie Shannon, CPC-A

  2. #2
    Columbia, MO
    G81 codes need an F02 code added on and G81.83 has an exclude 1 note for G20 and G21, indicating they cannot be coded here. I am uncertain what more you would need.

    Debra A. Mitchell, MSPH, CPC-H

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